Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jibu Jacob

Individual provider Physical Therapy Clinic/Center · NPI 1497259055

Jibu Jacob is a Physical Therapy Clinic/Center in Waterford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

1901 N Telegraph Rd
Waterford, MI 48328-1878
Phone: (248) 836-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 5501014216 (MI)

Record details

NPI number1497259055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2018
Last updated in NPPESMarch 20, 2018

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